A multi-stage process to develop quality indicators for community-based palliative care using interRAI data.

Delphi Technique Home Care Services Humans North America Palliative Care Quality Indicators, Health Care

Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2022
Historique:
received: 26 10 2021
accepted: 22 03 2022
entrez: 7 4 2022
pubmed: 8 4 2022
medline: 15 4 2022
Statut: epublish

Résumé

Individuals receiving palliative care (PC) are generally thought to prefer to receive care and die in their homes, yet little research has assessed the quality of home- and community-based PC. This project developed a set of valid and reliable quality indicators (QIs) that can be generated using data that are already gathered with interRAI assessments-an internationally validated set of tools commonly used in North America for home care clients. The QIs can serve as decision-support measures to assist providers and decision makers in delivering optimal care to individuals and their families. The development efforts took part in multiple stages, between 2017-2021, including a workshop with clinicians and decision-makers working in PC, qualitative interviews with individuals receiving PC, families and decision makers and a modified Delphi panel, based on the RAND/ULCA appropriateness method. Based on the workshop results, and qualitative interviews, a set of 27 candidate QIs were defined. They capture issues such as caregiver burden, pain, breathlessness, falls, constipation, nausea/vomiting and loneliness. These QIs were further evaluated by clinicians/decision makers working in PC, through the modified Delphi panel, and five were removed from further consideration, resulting in 22 QIs. Through in-depth and multiple-stakeholder consultations we developed a set of QIs generated with data already collected with interRAI assessments. These indicators provide a feasible basis for quality benchmarking and improvement systems for care providers aiming to optimize PC to individuals and their families.

Sections du résumé

BACKGROUND
Individuals receiving palliative care (PC) are generally thought to prefer to receive care and die in their homes, yet little research has assessed the quality of home- and community-based PC. This project developed a set of valid and reliable quality indicators (QIs) that can be generated using data that are already gathered with interRAI assessments-an internationally validated set of tools commonly used in North America for home care clients. The QIs can serve as decision-support measures to assist providers and decision makers in delivering optimal care to individuals and their families.
METHODS
The development efforts took part in multiple stages, between 2017-2021, including a workshop with clinicians and decision-makers working in PC, qualitative interviews with individuals receiving PC, families and decision makers and a modified Delphi panel, based on the RAND/ULCA appropriateness method.
RESULTS
Based on the workshop results, and qualitative interviews, a set of 27 candidate QIs were defined. They capture issues such as caregiver burden, pain, breathlessness, falls, constipation, nausea/vomiting and loneliness. These QIs were further evaluated by clinicians/decision makers working in PC, through the modified Delphi panel, and five were removed from further consideration, resulting in 22 QIs.
CONCLUSIONS
Through in-depth and multiple-stakeholder consultations we developed a set of QIs generated with data already collected with interRAI assessments. These indicators provide a feasible basis for quality benchmarking and improvement systems for care providers aiming to optimize PC to individuals and their families.

Identifiants

DOI: 10.1371/journal.pone.0266569 PMID: 35390091 PMC: PMC8989210
pubmed: 35390091
doi: 10.1371/journal.pone.0266569
pii: PONE-D-21-34279
pmc: PMC8989210
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0266569

Subventions

Organisme : CIHR
ID : PJT-156359
Pays : Canada

Déclaration de conflit d'intérêts

I have read the journal’s policy and the authors of this manuscript have the following competing interests: Dr. A. Sinnarajah has received research grants (last 5 years) on palliative care (as principal investigator or co-investigator), from the Canadian Institutes of Health Research, MSI Foundation, Canadian Cancer Society, Applied Research in Cancer Control, College of Family Physicians of Canada, Choosing Wisely Alberta, Alberta Innovates Health Research, Alberta Cancer Foundation, Alberta Health Services, University of Calgary, Canadian Frailty Network, Alberta Health and Campus Alberta Health Outcomes and Public Health. He has an academic appointment for palliative care research with Queen’s University and Lakeridge Health (currently), and University of Calgary (last 5 years). Lastly, he is/has paid medical administrative positions with Alberta Health Services and Lakeridge Health. The remaining authors declare that no competing interests exist. We confirm that Dr. Sinnarajah has some competing interests to report (previously detailed in the online submission) and we confirm that this does not alter our adherence to PLOS ONE policies on sharing data and materials.

Références

J Palliat Care. 2011 Summer;27(2):79-88
pubmed: 21805942
Palliat Med. 2017 Dec;31(10):932-945
pubmed: 28429629
J Palliat Care. 2006 Spring;22(1):12-7
pubmed: 16689410
J Appl Gerontol. 2021 Jul;40(7):731-741
pubmed: 32456510
BMC Geriatr. 2018 Jul 11;18(1):161
pubmed: 29996767
Health Care Financ Rev. 1995 Summer;16(4):107-27
pubmed: 10151883
Int Nurs Rev. 2003 Jun;50(2):79-84
pubmed: 12752906
J Pain Symptom Manage. 2011 Aug;42(2):169-82
pubmed: 21429703
Healthc Policy. 2012 May;7(4):e101-19
pubmed: 23634166
BMC Health Serv Res. 2014 Sep 17;14:396
pubmed: 25228087
J Am Geriatr Soc. 2007 Oct;55 Suppl 2:S318-26
pubmed: 17910553
Eur J Public Health. 2019 Feb 1;29(1):67-74
pubmed: 30481305
J Palliat Med. 2014 Jul;17(7):769-75
pubmed: 24921162
Palliat Med. 2017 Sep;31(8):684-706
pubmed: 28190381
Health Care Financ Rev. 2002 Summer;23(4):19-36
pubmed: 12500468
BMC Health Serv Res. 2003 Nov 04;3(1):20
pubmed: 14596684
Gerontologist. 2004 Oct;44(5):665-79
pubmed: 15498842
J Palliat Med. 2012 Mar;15(3):308-16
pubmed: 22324541
J Palliat Med. 2019 Nov;22(11):1346-1356
pubmed: 31094608
BMC Geriatr. 2015 Nov 14;15:148
pubmed: 26572734
Palliat Med. 2004 Apr;18(3):202-16
pubmed: 15198133
J Clin Oncol. 2003 Mar 15;21(6):1133-8
pubmed: 12637481
Support Care Cancer. 2012 Sep;20(9):1983-9
pubmed: 22105162
BMC Palliat Care. 2019 Jan 9;18(1):3
pubmed: 30626374
BMC Health Serv Res. 2019 May 15;19(1):310
pubmed: 31092244
J Pain Symptom Manage. 2015 Jul;50(1):48-58
pubmed: 25656325
BMC Health Serv Res. 2013 Apr 15;13:137
pubmed: 23587314
Int J Geriatr Psychiatry. 2003 Mar;18(3):250-7
pubmed: 12642895
Support Care Cancer. 2015 Feb;23(2):307-15
pubmed: 25063272
J Pain Symptom Manage. 2015 Apr;49(4):773-81
pubmed: 25697097
Front Psychiatry. 2020 Jan 17;10:926
pubmed: 32076412
Am J Phys Med Rehabil. 2004 Apr;83(4):316-26
pubmed: 15024335
Palliat Med. 2012 Jun;26(4):322-35
pubmed: 21831915
Palliat Med. 2021 Sep;35(8):1525-1541
pubmed: 34053348
J Pain Symptom Manage. 2018 Dec;56(6):831-870
pubmed: 30391049
Milbank Q. 2011 Sep;89(3):343-80
pubmed: 21933272
J Pain Symptom Manage. 2016 Apr;51(4):652-661
pubmed: 26674609
J Palliat Care. 2002 Spring;18(1):48-58
pubmed: 12001403
Palliat Med. 2006 Dec;20(8):769-77
pubmed: 17148531
BMC Health Serv Res. 2013 Jan 10;13:15
pubmed: 23305286
BMC Palliat Care. 2021 Sep 22;20(1):149
pubmed: 34551748
Hastings Cent Rep. 2005 Nov-Dec;Spec No:S14-8
pubmed: 16468250
Home Health Care Serv Q. 2008;27(1):59-74
pubmed: 18510199
Health Serv Insights. 2019 Jun 25;12:1178632919856011
pubmed: 31263374
Ann Emerg Med. 2021 Feb;77(2):193-202
pubmed: 33199045
Trans Am Clin Climatol Assoc. 1999;110:30-5; discussion 35-7
pubmed: 10344004
Palliat Support Care. 2021 Jun 22;:1-7
pubmed: 34154690
J Pain Symptom Manage. 2009 Jul;38(1):145-156
pubmed: 19615636
BMC Health Serv Res. 2012 Nov 02;12:381
pubmed: 23122255
Int J Qual Health Care. 2021 Jul 31;33(3):
pubmed: 34282841
BMC Med Inform Decis Mak. 2017 Oct 30;17(1):150
pubmed: 29084534
BMJ Open. 2014 Feb 12;4(2):e004488
pubmed: 24523428
Age Ageing. 2008 Jan;37(1):51-6
pubmed: 18033777
Med Care. 1994 Jul;32(7):668-85
pubmed: 8028403
Med Care. 1999 Jun;37(6):570-9
pubmed: 10386569
J Pain Symptom Manage. 2009 Dec;38(6):903-12
pubmed: 19775860
BMC Health Serv Res. 2005 Jan 18;5(1):7
pubmed: 15656901
BMC Palliat Care. 2013 Feb 08;12:6
pubmed: 23394401
BMC Health Serv Res. 2010 Apr 15;10:96
pubmed: 20398304
Curr Oncol. 2015 Oct;22(5):341-55
pubmed: 26628867
J Palliat Med. 2016 Mar;19(3):263-70
pubmed: 26673031
J Gerontol. 1994 Jul;49(4):M174-82
pubmed: 8014392
BMC Geriatr. 2010 Sep 20;10:67
pubmed: 20854670
Gerontologist. 2001 Apr;41(2):173-9
pubmed: 11327482
J Palliat Med. 2016 Jul;19(7):712-9
pubmed: 27254096
CMAJ. 2016 Dec 6;188(17-18):E493-E498
pubmed: 27551031

Auteurs

Dawn M Guthrie (DM)

Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada.
Department of Health Sciences, Wilfrid Laurier University, Waterloo, Ontario, Canada.
ORCID: 0000-0003-3241-6580

Nicole Williams (N)

Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada.

Cheryl Beach (C)

Integrated Community Services, Fraser Health, Surrey, British Columbia, Canada.

Emma Buzath (E)

Provincial Palliative and-End-of-Life Care, Seniors Health and Continuing Care, Alberta Health Services, Calgary, Alberta, Canada.

Joachim Cohen (J)

End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium.

Anja Declercq (A)

LUCAS - Center for Care Research and Consultancy, KU Leuven, Leuven, Belgium.
CESO - Center for Sociological Research, KU Leuven, Leuven, Belgium.

Kathryn Fisher (K)

School of Nursing, McMaster University, Hamilton, Ontario, Canada.

Brant E Fries (BE)

Department of Health Management and Policy and Department of Geriatric and Palliative Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
ORCID: 0000-0002-1592-2433

Donna Goodridge (D)

College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Kirsten Hermans (K)

LUCAS - Center for Care Research and Consultancy, KU Leuven, Leuven, Belgium.

John P Hirdes (JP)

School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Hsien Seow (H)

Department of Oncology, McMaster University, Hamilton, Ontario, Canada.

Maria Silveira (M)

Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.

Aynharan Sinnarajah (A)

Department of Medicine, Queen's University, Kingston, Ontario, Canada.
ORCID: 0000-0002-7967-159X

Susan Stevens (S)

Nova Scotia Health, Halifax, Halifax, Nova Scotia, Canada.

Peter Tanuseputro (P)

Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Deanne Taylor (D)

Research Department, Interior Health Authority, Kelowna, British Columbia, Canada.
Rural Coordination Centre of BC, Penticton, British Columbia, Canada.

Christina Vadeboncoeur (C)

Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.
Children's Hospital of Eastern Ontario Ottawa, Ontario, Canada.
Roger Neilson House, Ottawa, Ontario, Canada.

Tracy Lyn Wityk Martin (TLW)

Provincial Palliative and-End-of-Life Care, Seniors Health and Continuing Care, Alberta Health Services, Calgary, Alberta, Canada.

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Classifications MeSH

questionsmedicales.fr › Sciences de l'information › Analyse des systèmes › Méthode Delphi › A multi-stage process to develop quality...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de soins infirmiers › Services de soins à domicile › A multi-stage process to develop quality...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A multi-stage process to develop quality...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › A multi-stage process to develop quality...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins palliatifs › A multi-stage process to develop quality...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Indicateurs qualité santé › A multi-stage process to develop quality...